Individual
MRS. JESSICA R GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 N HIGHLAND AVE, SHERMAN, TX 75092-7354
(903) 870-5502
Mailing address
507 DRUID DR, VAN ALSTYNE, TX 75495-7076
(713) 826-9733
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06403
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141953
—
LA
Enumeration date
01/11/2010
Last updated
05/24/2011
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